Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $57.66 / $131.22	Facility		$17.64	$57.66	$131.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $17.42 / $44.35	Professional		$15.46	$17.42	$44.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $36.59 / $36.59	Facility		$36.59	$36.59	$36.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $15.28 / $19.10	Professional		$9.61	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $52.96	Professional		$13.24	$13.24	$52.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.41 / $85.41 / $85.41	Facility		$85.41	$85.41	$85.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $27.24 / $65.36	Professional		$11.92	$27.24	$65.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $17.12 / $36.40	Professional		$13.24	$17.12	$36.40
United Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $26.48 / $39.95	Professional		$8.53	$26.48	$39.95